All Available Payers with Office Ally Payer List

Remits (835)
All
Claims
(837P, 837I, 837D)
Remits
(835)
Eligibility and Benefits
(270/271)
Claim Status
(276/277)
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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Edinger Medical Group
Payer ID
GNPMG
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under "MemorialCare".
El Camino Health Alliance
Payer ID
ECL01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Camino Health Medical Network
Payer ID
S9637
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2019 Previously known as San Jose Medical Group. Enrollment completed under Silicon Valley Medical Development.
El Paso First - CHIP
Payer ID
EPF03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First Health Plans Premier Plan STAR Medicaid HMO
Payer ID
EPF02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ElderPlan, Inc.
Payer ID
31625
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.
Elderwood Health
Payer ID
03964
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elips Life Insurance Company Medicare Supplement
Payer ID
96801
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
EMHS Employee Health Plan
Payer ID
16565
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EMI Health
Payer ID
SX110
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through fee applies to this transaction.
Empire Healthcare IPA
Payer ID
EHI01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Corporation
Payer ID
37215
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Management Services (EBMS)
Payer ID
81039
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Services - Ft. Mill, South Carolina
Payer ID
37216
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefits Plan Administration (EBPA)
Payer ID
03036
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Envolve Vision (Formerly known as OptiCare Managed Vision)
Payer ID
56190
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment forms are listed under OptiCare Managed Vision.
EPIC BB Everest Premier Insurance Co # 206
Payer ID
J4014
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Erie Insurance Medicare Supplement
Payer ID
96486
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
ES Beveridge & Associates
Payer ID
34108
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Esperanza IPA
Payer ID
EIPA8
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For claims with DOS 8/1/14 and later. Payer returns ERAs automatically once electronic claim submission begins.
Everence
Payer ID
35605
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Everest Medicare Supplement
Payer ID
96529
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Evergreen Health
Payer ID
45319
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EverNorth Behavioral Health
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as CIGNA Behavioral Health. Enrollment instructions listed under Cigna Healthcare.
Evernorth Network Services
Payer ID
62350
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Evolutions Healthcare Systems
Payer ID
59313
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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New Port Richey, Florida.
Excel MSO
Payer ID
EXC01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Optum Care Network.
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Exclusicare
Payer ID
71412
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Facey Medical Foundation
Payer ID
STJOE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment.
Falling Colors (BHSD STAR)
Payer ID
FCC20
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs returned automatically.
Fallon Community Health
Payer ID
22254
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Family Choice Medical Services
Payer ID
FCMS2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Family Practice Medical Group
Payer ID
10145
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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FCE Benefit Administrators
Payer ID
33033
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employee Plan of South Carolina
Payer ID
00402
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fenix Medical Group
Payer ID
60818
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fidelis Care New York
Payer ID
11315
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's have been re-established. Please complete ERA re-enrollment.
First Choice Health Administrators (FCHA)
Payer ID
91131
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's are available via RedCard for this plan (FCHA).
First Choice MA Plans
Payer ID
FCMA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment.
First Choice Medical Group/Meritage
Payer ID
FC001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 4/1/2021. Payer returns ERAs automatically.
First Choice VIP Care SC
Payer ID
32456
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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First Priority Health (FPH) - Highmark
Payer ID
54771
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For those that renewed coverage in 2016.
Firstcare (Medicaid)
Payer ID
94998
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Firstcare and Firstcare Medicaid
Payer ID
94999
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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FirstSolutions
Payer ID
FS802
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now Known as Bridgeview Company.
Florida Blue HMO
Payer ID
00590
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Community Care
Payer ID
FLCCR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Health Administrators
Payer ID
86753
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Healthcare Plan
Payer ID
59322
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida School Boards Insurance Trust (FSBIT)
Payer ID
J4703
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Florida True Health
Payer ID
77003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Fox Valley Medicine Site 199
Payer ID
FVMCH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Franciscan Senior Health & Wellness
Payer ID
FSHW1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Returns ERAs automatically once electronic submission begins.
Freedom Blue
Payer ID
15459
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Freedom Health Plan
Payer ID
41212
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Friday Health Plans
Payer ID
H0657
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fringe Benefits Coordinators
Payer ID
59204
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Garden State Life Insurance Medicare Supplement
Payer ID
S4048
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer. Enrollment is completed under American National Insurance Co Medicare Supplement.
Gateway Health Plan
Payer ID
25169
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA)
Payer ID
25169
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured
Payer ID
60550
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Gateway IPA (Pinnacle Health Resource)
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Geisinger Health Plans
Payer ID
75273
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GemCare Health Plan, Kern County EPO
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GEMCare Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Genesis Healthcare (EMG)
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Genesis Medical Group
Payer ID
GMG01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GHA Orthopedic Providers Inc.
Payer ID
GHAOP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Giatros Health IPA
Payer ID
GHIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically upon claim submission.
Gilsbar
Payer ID
07205
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Glendale Adventist Medical Center
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Inc.
Payer ID
07689
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Medical Group IPA
Payer ID
MPM05
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Health
Payer ID
GHOKC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Women's Health Providers Inc.
Payer ID
GHAWH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Globe Life
Payer ID
91472
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Globe Life & Accident Insurance Company
Payer ID
55004
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Coast
Payer ID
77160
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Kidney Health Plan
Payer ID
A6865
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Golden Physicians Medical Group
Payer ID
GPMG2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gonzaba Medical Group
Payer ID
GMGSA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Government Employees Hospital Association (GEHA)
Payer ID
44054
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under UMR (Wausau/ UHIS) - Payer ID 39026
Granite State (Centene)
Payer ID
68069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Gravie Inc
Payer ID
GRV01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Great Southern Life Insurance Co Medicare Supplement
Payer ID
96477
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Great West Health Care
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment instructions listed under Cigna Healthcare.
Greater L.A. Healthcare
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Greater Orange Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater San Gabriel Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater San Gabriel Valley Physicians
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Greater Tri-Cities IPA
Payer ID
PDT01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Physicians Data Trust".
Group Health Cooperative (GHC)
Payer ID
91051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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